Dissociation in psychiatric disorders: a meta-analysis of studies using the dissociative experiences scale

Objective:Dissociation is a complex, ubiquitous construct in psychopathology. Symptoms of dissociation are present in a variety of mental disorders and have been connected to higher burden of illness and poorer treatment response, and not only in disorders with high levels of dissociation. This meta...

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Hauptverfasser: Lyssenko, Lisa (VerfasserIn) , Schmahl, Christian (VerfasserIn) , Bohus, Martin (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2018
In: The American journal of psychiatry
Year: 2017, Jahrgang: 175, Heft: 1, Pages: 37-46
ISSN:1535-7228
DOI:10.1176/appi.ajp.2017.17010025
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1176/appi.ajp.2017.17010025
Verlag, Volltext: https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2017.17010025
Volltext
Verfasserangaben:Lisa Lyssenko, Christian Schmahl, Laura Bockhacker, Ruben Vonderlin, Martin Bohus, Nikolaus Kleindienst

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520 |a Objective:Dissociation is a complex, ubiquitous construct in psychopathology. Symptoms of dissociation are present in a variety of mental disorders and have been connected to higher burden of illness and poorer treatment response, and not only in disorders with high levels of dissociation. This meta-analysis offers a systematic and evidence-based study of the prevalence and distribution of dissociation, as assessed by the Dissociative Experiences Scale, within different categories of mental disorders, and it updates an earlier meta-analysis.Method:More than 1,900 original publications were screened, and 216 were included in the meta-analysis, comprising 15,219 individuals in 19 diagnostic categories.Results:The largest mean dissociation scores were found in dissociative disorders (mean scores >35), followed by posttraumatic stress disorder, borderline personality disorder, and conversion disorder (mean scores >25). Somatic symptom disorder, substance-related and addictive disorders, feeding and eating disorders, schizophrenia, anxiety disorder, OCD, and most affective disorders also showed mean dissociation scores >15. Bipolar disorders yielded the lowest dissociation scores (mean score, 14.8).Conclusions:The findings underline the importance of careful psychopathological assessment of dissociative symptoms in the entire range of mental disorders. 
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